MEDICARE: MERCY AMBULANCE SERVICE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	025-10	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538211081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY AMBULANCE SERVICE INC.

Provider Business Mailing Address
First Line	:	1399 DEAN FOREST RD
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-9307
Country	:	US
Telephone Number	:	912-354-1011
Fax Number	:	912-354-1294

Provider Business Practice Location Address
First Line	:	1399 DEAN FOREST RD
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-9307
Country	:	US
Telephone Number	:	912-354-1011
Fax Number	:	912-354-1294

Authorized Official
Title or Position	:	CEO
Name	:	MR. CONRAD KEARNS
Credential	:
Telephone Number	:	912-354-1011

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	02/05/2026

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Directions to “MERCY AMBULANCE SERVICE INC. ” Practice Location

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